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Exam 16: Diseases of the Circulatory System

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Question 1

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A patient is admitted with dyspnea and fluid overload.Chest X-ray reveals bilateral pleural effusion,right greater than left,and pulmonary congestion with possible congestive heart failure.BNP is elevated,confirming congestive heart failure.Echo shows a mild pulmonary hypertension and aortic valve stenosis.The patient is receiving medication for atrial fibrillation and has a history of alcoholic cardiomyopathy and alcohol dependence. Discharge Diagnoses: Congestive heart failure. Pulmonary hypertension. Aortic valve stenosis. Atrial fibrillation.

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I50.9,I27....

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Question 2

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Match the following Z codes to their meanings. -Family history of stroke

A) Z82.3
B) Z94.1
C) Z95.811
D) Z95.9
E) Z76.82

F) None of the above
G) A) and E)

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Question 3

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Match the following Z codes to their meanings. -Awaiting organ transplant status

MATCHING Match the following definitions with the correct word. -A stroke that lasts only a few minutes

Patient is admitted through the ER,presenting with acute chest pain.The patient has a history of COPD and pneumonia as well as type 2 DM with diabetic neuropathy.He has a history of hypertension and gout for which he takes meds for both conditions.He is currently smoking about one pack per day.After study it is determined that patient has had an acute anterolateral wall infarct.He is taken to the cath lab for a PTCA with the insertion of a drug-eluting stent of the LAD.

The time limit for assigning the acute MI in ICD-10-CM is 28 days.

What is the function of blood vessels?

Match the following treatment/medication to the correct condition. -Diuretics such as Lasix,Bumex,and Zaroxolyn;beta blockers

MATCHING Match the following definitions with the correct word. -Inflammation of the covering of the heart

Bifascicular block: __________

In ICD-10-CM,there are fourth-character designations to classify hypertension as to whether it is benign,malignant,or unspecified.

Right iliac vein phlebitis: __________

MATCHING Match the following definitions with the correct word. -A procedure that may be used on a patient with chest pain,angina,or acute MI to determine the severity of the coronary artery disease

MATCHING Match the following definitions with the correct word. -A stricture or hardening of the artery due to deposits of plaque

Patient is admitted through the ER with atrial fibrillation and a history of COPD.She is taken to the EPS lab for EPS mapping and percutaneous radiofrequency ablation of the AV node.

The two main types of heart failure are systolic and diastolic.

Deep vein thrombosis (DVT)is a blood clot that forms deep in a vein,usually in the leg or hip.

A patient is admitted with facial droop,right-sided hemiparesis,and nystagmus.Testing reveals occlusion of the left carotid artery with cerebral infarct.The patient has uncontrolled hypertension and atrial fibrillation,which is treated with Coumadin.Before discharge the patient's nystagmus and facial droop have resolved.The patient is discharged to rehab for continued therapy for right-sided hemiparesis.

MI is the abbreviation for ____________________.

Molly has a blood pressure of 150/100.She would be classified as having ____ by her clinician.